Individual
MARK S RYBCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9495 KEILMAN AVENUE, SUITE 3 AND 4, ST JOHN, IN 46373-9295
(219) 365-7000
(219) 365-2609
Mailing address
1040 SIERRA DR, STE 400, GREENWOOD, IN 46143-7240
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001056A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090000854
BCBS GROUP NUMBER
IL
05
—
10021550
—
IN
Enumeration date
10/04/2006
Last updated
12/21/2011
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